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Care Delivery


Several groups representing nurses have accused the American Medical Association of igniting a “turf war” and “hampering access to care” by adopting a resolution to oppose efforts to allow non-physician practitioners to practice independently without the supervision of a licensed physician.

Healthcare real estate company Mainstreet Health Investments has signed a definitive agreement to acquire Care Investment Trust and its dozens of senior care and skilled nursing facilities in 11 states, with the expanded company rebranding to become Invesque.

Too few accountable care organizations (ACOs) were interested in testing CMS’s Shared Decision Making (SDM) model, so the agency announced it wouldn’t be moving forward with the program.

The buzzwords related to information technology and advanced communication are familiar—digital, virtual, real-time, eHealth, telemedicine. But sometimes they can be used in a way that’s a bit confusing. For example, a facility outside St. Louis is perhaps the world’s most advanced virtual hospital. But the building is real, the doctors are real, the nurses making rounds are real. It’s just the patients that are missing.

The American Medical Association (AMA) announced it will expand its effort to prevent Type 2 diabetes to eight additional states after it was launched last year in California, Michigan and South Carolina.


Recent Headlines

Swing-bed utilization at critical access hospitals increasing

From 2005 through 2010, swing-bed utilization and Medicare spending at critical access hospitals increased significantly, according to an analysis from the Office of Inspector General of the Department of Health and Human Services.

States prepare for healthcare delivery system changes

Through a Centers for Medicare & Medicaid Service initiative, states are encouraged to revamp their healthcare delivery systems and improve their care while lowering costs.

Hospital and physician office visits increase thanks to the Affordable Care Act

When the Patient Protection and Affordable Care Act is fully implemented, hospital outpatient departments will see a 2.6 percent increase in visits and primary care providers will see a 3.8 percent increase in visits, according to a new Commonwealth Fund analysis.

Physician shortages expected to grow in the next decade

During the next decade, physician demand will grow at a faster rate than supply, causing a shortage of primary care and specialty doctors at a time when the health of U.S. citizens is declining and the average age of the population is increasing.

Popular hospital rating systems differ in terms of quality and safety measures

Four hospital rating systems aimed at consumers vary in their conclusions on how facilities are performing because each uses its own methodology.

Hospital outpatient departments and physician offices differ in treatments and costs

Patients who receive non-emergent medical care in a hospital outpatient department are more likely to be minority, poorer and have more severe chronic conditions than patients treated in physician offices, according to an American Hospital Association report.

CMS seeks comment on advanced primary care models

CMS is asking for comments through March 16 to test primary care models and move toward more value-based payments instead of the traditional fee-for-service approach.

Physicians receive increased payments for value-based care

For 2015, nearly 7,000 physicians in 14 group practices are receiving an increase in their Medicare payments because they met quality of care goals and kept costs down.

New initiative focuses on value-based care and other alternative payment models

The Centers for Medicare & Medicaid Services has established a new initiative that would bring together various healthcare stakeholders and focus on transitioning to value-based care and other payment models.

Hospitals, doctors sharing medical records with patients

As of December 2014, nearly five million patients in the U.S. had received online access to their clinicians’ notes.